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so over the next 30 minutes or so I thought I would just show you a few key examples that I think are important that you might encounter in your offices or obviously up in the hospital and certainly this is not meant to be a conclusive representation or comprehensive representation of electrocardiography but I thought maybe some take-home points here this is an example of hyperkalemia and Oh renal failure patient taken care of by one of our nephrologists and I think the underlying story here is its important as an office based practitioner or in the hospital to recognize electrolyte abnormalities because the electrocardiogram may be the first indicator of an electrolyte abnormality typically this pertains to calcium and potassium disorders potassium affecting initially the T wave is in this case with a peaked symmetric t way with a narrow base notice that the T wave amplitude may not be all that high but in fact its more the symmetry and the narrow based portion of the T wave thats
